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Minnesota rates for HCPCS 24615

Open Tx Acute/Chronic Elbow Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.51 / $713.51 / $4,828.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,346.39 / $12,197.67 / $25,424.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,733.33 / $2,459.34 / $5,916.28
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$80.94 / $80.94 / $80.94
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,575.75 / $2,248.42 / $4,658.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.12 / $1,220.26 / $5,577.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$183.90 / $183.90 / $183.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00